GEORGIA KIDNEY CONSULTANTS, LLC
NPI 1477865467
Internal Medicine - Nephrology in Watkinsville, GA

Active since July 08, 2010CLIA 11D2024785 · Waiver
1360 CADUCEUS WAY, BUILDING 400, SUITE 104, WATKINSVILLE, GA 30677(706) 850-8135(706) 548-9101 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Georgia Kidney Consultants, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA KIDNEY CONSULTANTS, LLC (NPI 1477865467) is a healthcare organization registered as a nephrology in Watkinsville, Georgia and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Rene B. Mackay, President, Md, as its authorized official.

NPPES Registry Identity

NPI1477865467
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGEORGIA KIDNEY CONSULTANTS, LLC
Location Address1360 CADUCEUS WAY, BUILDING 400, SUITE 104Watkinsville, GA 30677
Mailing Address1360 Caduceus Way, Building 400, Suite 104Watkinsville, GA 30677 · (706) 850-8135 · Fax (706) 548-9101
Fax(706) 548-9101
Organization SubpartNo
Authorized OfficialRene B. MackayPresident, Md · (706) 850-8135
Enumeration DateJuly 8, 2010
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1477865467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 051680
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1360 CADUCEUS WAY, Watkinsville, GA 30677

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Kidney Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Georgia Kidney Consultants, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nephrology
NPI 1073891198
1360 CADUCEUS WAY BLDG 400, SUITE 104
Watkinsville, GA 30677
(706) 850-8135
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1720583156
1360 CADUCEUS WAY STE 104
Watkinsville, GA 30677
(706) 850-8135
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1285652990
650 OGLETHORPE AVE SUITE #4
Athens, GA 30606
(706) 850-8135
✔ PECOS✔ Accepts Medicare4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2024785

Georgia Kidney Consultants · Watkinsville, GA
Active · expires May 23, 2027
CLIA Number11D2024785
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorRene B. Mackay
Laboratory Phone(706) 850-8135
Laboratory LocationGeorgia Kidney Consultants1360 Caduceus Way, Bldg 400-104, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Kidney Consultants, LLC's NPI number?

The NPI number for Georgia Kidney Consultants, LLC is 1477865467. It was assigned to this organization in the NPPES registry on July 8, 2010.

Where is Georgia Kidney Consultants, LLC located?

Georgia Kidney Consultants, LLC is located at 1360 Caduceus Way Building 400, Suite 104, Watkinsville, GA 30677. The listed phone number is (706) 850-8135.

What is Georgia Kidney Consultants, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Georgia Kidney Consultants, LLC enrolled in Medicare?

Yes. Georgia Kidney Consultants, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Kidney Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Georgia Kidney Consultants, LLC, in Nephrology and Neurology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Kidney Consultants, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2024785) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia Kidney Consultants, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Kidney Consultants, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgia Kidney Consultants, LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.